Individual
DIANE EDITH PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6544
Mailing address
15 AVONDALE RD, NEWTON, MA 02459-1618
(617) 527-8938
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102097
MA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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